Individual
MIRANDA LEANN FRANCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
143 S MAIN ST, FAYETTE, IA 52142-7701
(319) 415-4728
Mailing address
PO BOX 26, FAIRBANK, IA 50629-0026
(319) 415-4728
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G166198
IA
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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